Cranial Maxillofac Trauma Reconstruction 2017; 10(04): 292-298
DOI: 10.1055/s-0036-1593475
Case Report
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Mandibular Reconstruction with Lateral Tibial Bone Graft: An Excellent Option for Oral and Maxillofacial Surgery

Ana Lucia Carpi Miceli
Department of Oral and Maxillofacial Surgery, Servidores do Estado Federal Hospital, Rio de Janeiro, Rio de Janeiro, Brazil
,
Livia Costa Pereira
Department of Oral and Maxillofacial Surgery, Servidores do Estado Federal Hospital, Rio de Janeiro, Rio de Janeiro, Brazil
,
Thiago da Silva Torres
Department of Oral and Maxillofacial Surgery, Servidores do Estado Federal Hospital, Rio de Janeiro, Rio de Janeiro, Brazil
,
Mônica Diuana Calasans-Maia
Oral Surgery Department, Dentistry School, Fluminense Federal University, Niterói, Rio de Janeiro
,
Rafael Seabra Louro
Department of Oral and Maxillofacial Surgery, Servidores do Estado Federal Hospital, Rio de Janeiro, Rio de Janeiro, Brazil
Oral Surgery Department, Dentistry School, Fluminense Federal University, Niterói, Rio de Janeiro
› Author Affiliations
Further Information

Publication History

12 March 2016

30 July 2016

Publication Date:
01 November 2016 (eFirst)

Abstract

Autogenous bone grafts are the gold standard for reconstruction of atrophic jaws, pseudoarthroses, alveolar clefts, orthognathic surgery, mandibular discontinuity, and augmentation of sinus maxillary. Bone graft can be harvested from iliac bone, calvarium, tibial bone, rib, and intraoral bone. Proximal tibia is a common donor site with few reported problems compared with other sites. The aim of this study was to evaluate the use of proximal tibia as a donor area for maxillofacial reconstructions, focusing on quantifying the volume of cancellous graft harvested by a lateral approach and to assess the complications of this technique. In a retrospective study, we collected data from 31 patients, 18 women and 13 men (mean age: 36 years, range: 19–64), who were referred to the Department of Oral and Maxillofacial Surgery at the Servidores do Estado Federal Hospital. Patients were treated for sequelae of orthognathic surgery, jaw fracture, nonunion, malunion, pathology, and augmentation of bone volume to oral implant. The technique of choice was lateral access of proximal tibia metaphysis for graft removal from Gerdy tubercle under general anesthesia. The mean volume of bone harvested was 13.0 ± 3.7 mL (ranged: 8–23 mL). Only five patients (16%) had minor complications, which included superficial infection, pain, suture dehiscence, and unwanted scar. However, none of these complications decreases the result and resolved completely. We conclude that proximal tibia metaphysis for harvesting cancellous bone graft provides sufficient volume for procedures in oral and maxillofacial surgery with minimal postoperative morbidity.